John L Waller, CRNA in Reidsville, NC - Medicare Certified Registered Nurse Anesthetist (crna)

John L Waller, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Reidsville, North Carolina. He went to University Of Minnesota Medical School and graduated in 1986 and has 38 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Wake Forest University Health Sciences and his current practice location is 618 S Main St, Reidsville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 951-4000.

John L Waller is licensed to practice in North Carolina (license number 038610) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427105980.

Contact Information

	John L Waller, CRNA
	618 S Main St, Reidsville, NC 27320-5020
	(336) 951-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	John L Waller
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	38 Years
Location	618 S Main St, Reidsville, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John L Waller attended and graduated from University Of Minnesota Medical School in 1986

NPI Data:

NPI Number: 1427105980
Provider Enumeration Date: 01/05/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7911193073
Enrollment ID: I20101201000531

Medical Identifiers

Medical identifiers for John L Waller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427105980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	038610 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wilkes Regional Medical Center	North wilkesboro, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest University Health Sciences	4486564952	1987

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. John L Waller allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John L Waller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
John L Waller, CRNA Po Box 26580, Greensboro, NC 27415-6580 Ph: (336) 832-7786	John L Waller, CRNA 618 S Main St, Reidsville, NC 27320-5020 Ph: (336) 951-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Reidsville, NC

Karen E Daniel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 618 S Main St, Reidsville, NC 27320 Phone: 336-951-4000
Amy Andraza Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 618 S Main St, Reidsville, NC 27320 Phone: 336-832-7000
Robert J Idacavage, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 618 S Main St, Reidsville, NC 27320 Phone: 336-951-4000

John L Waller, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Reidsville, NC